Concussion Management

Washington State Concussion Management Guidelines

CDC Guidelines on Youth Concussions

Heads up! Quick Info Sheet on Concussion guidelines (PDF)

SCAT 2 Sport Concussion Assessment Tool

Concussion Training ONLINE!

Guidelines and Procedures for Dealing with Potential Concussion. (AWESOME TRAINING VIDEO)

Concussion Risk

  • Risk comes with being an athlete; it’s part of what makes sports challenging.
  • With proper techniques and coaches monitoring their athletes, many risks can be reduced.
  • Continuing to play with a concussion can cause permanent brain damage–or even death.
  • The majority of teenage athletes who suffer devastating brain damage  have had previous concussions.
  • Almost 40% of those athletes with deadly consequences were still playing with symptoms of a previous concussion. You have to stop sports participation until the signs and symptoms of concussion disappear.
  • Teens may hesitate to report symptoms, believing their injuries are no  big deal, or trying to tough it out and return to the game.
  • There may even be pressure from parents or other adults to keep playing.

What is a Concussion

  • A concussion by definition, means “to shake violently.”
  • A blow to the head or to another part of the body, with force transmitted to your head, that causes the brain to shake inside the skull and result in “EVEN A BRIEF AND MILD” alteration in brain function is considered a concussion.

How Do I Recognize a Concussion

  • Signs and symptoms of concussion vary depending on what part of the brain is involved.
  • Only about 10 percent of athletes sustaining a concussion will lose consciousness.
  • Signs of concussion are what you observe in an athlete;  symptoms are what players tell you they are feeling.

Signs of concussion may include:

  • Appears dazed or confused
  • Acts confused about assignments
  • Forgets plays
  • In unsure of game, score, or opponent
  • Moves clumsily
  • Answers questions slowly
  • Shows behavior or personality changes
  • Can’t recall events prior to hit
  • Can’t recall events after hit
  • How Do I Recognize a Concussion

Symptoms of concussion may include:

  • Headache
  • Nausea
  • Balance problems or dizziness
  • Double or fuzzy vision
  • Feeling sluggish
  • Feeling foggy or groggy
  • Concentration or memory problems
  • Confusion

What Do I Do if I Suspect a Concussion?

  • Any athlete suspected of a concussion should be removed from the game or practice immediately.
  • Continue to monitor the player after your initial evaluation.
  • Make sure the athlete is supervised for at least one or two hours after you suspect a concussion.
  • Do not allow the athlete to return to play until you have received written clearance from a licensed health care provider trained in the evaluation and management of brain injuries.
  • Health Care Providers

What health care providers are licensed and trained in the evaluation and management of brain injuries:

  • Medical Doctors (MD)
  • Doctor of Osteopathy (DO)
  • Advanced Registered Nurse Practitioner (ARNP)
  • Physicians Assistant (PA)
  • Licensed Certified Athletic Trainers (ATC)



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